Medical Coverage Plan Summaries:
PASSHE

Faculty Pay Notice (PDF)

Retirement & Savings:
Retirement Plan Options

Retirement Election Form (PDF)

Other Links:
Health Coverage / Helpful Links

Healthy U

Life Insurance

SEAP

Flexible Spending Accounts (Health and Dependent Care)

Open Enrollment:

PEBTF Dental Change Information

PEBTF Open Enrollment Newsletter

ESS Instructions for PEBTF Open Enrollment

PEBTF Enrollment/Change Form

PASSHE Health Plan Enrollment Change Form

FSA OPEN ENROLLMENT
October 31 – November 11, 2011

Click Here to Access the Flexible Spending Account Brochure
Click Here for instructions on Flexible Spending Account enrollment through ESS
Click Here to access the Flexible Spending Account Enrollment Form

Leave Donation :
Leave Donation Policy

Request to DONATE Leave

Request to RECEIVE Leave Donations

Domestic Partnership (Faculty, Coaches and Managers):
Same-Sex Domestic Partner Benefits

Same-Sex Domestic Partnership Certification Form

Guidelines for Domestic Partnership Leave Benefits

Section 152 - Internal Revenue Code - Dependent Tax Qualification

Tuition Fee Waiver:

Tuition Fee Waiver Form/Application for WCU Students

Tuition Fee Waiver Form/Application for Other PASSHE School Students

Long-Term Disability:

Long-Term Disability Rate Reduction Notice

Management

Faculty (APSCUF)

SCUPA (Professional)

Coaches

AFSCME (Clerical, Custodial, Maintenance)

SPFPA (Police, Security)

Nurses (OPEIU)

Workers Compensation:
Employee's Incident Report (PDF)

Workers' Compensation Employee Notification (PDF)

Work Related Injury Leave Election Form (DOC)

Modified Work Assignment

Flu Shot:
WCU Vaccine Documentation/Consent Form
Vaccine Information Sheet

Tuition Free Waiver Forms:
Tuition Fee Waiver Form/Application for WCU Students

Tuition Fee Waiver Form/Application for Other PASSHE School Students

Attn. I-9 Verifiers:
How to Complete and Verify an I-9 (PPT)

I-9 Verifying Job Aid(PDF)